Provider Demographics
NPI:1427622596
Name:AURALCARE HEARING CENTERS OF AMERICA, LLC
Entity type:Organization
Organization Name:AURALCARE HEARING CENTERS OF AMERICA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-688-6486
Mailing Address - Street 1:8941 S 700 E
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2400
Mailing Address - Country:US
Mailing Address - Phone:732-688-6486
Mailing Address - Fax:801-396-7066
Practice Address - Street 1:4155 YELLOWSTONE AVE
Practice Address - Street 2:
Practice Address - City:CHUBBUCK
Practice Address - State:ID
Practice Address - Zip Code:83202-2385
Practice Address - Country:US
Practice Address - Phone:208-238-0020
Practice Address - Fax:801-396-7066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AURALCARE HEARING CENTERS OF AMERICA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID0000439277OtherSTATE OF IDAHO ENTITY LICENSE NUMBER